1 2 Title of Your Essay Your First and Last Name University of Arizona Global Campus Course Code: Name of Course (e.g. ENG 122: English Composition II) Instructor Name Due Date Title of Your Essay Start the first paragraph here, which should introduce your reader to the subject you are writing about, as well as your particular position or claim. Do not label it “Introduction.” Instead, simply write your paper’s title as a level 1 heading: bold, centered, with title case. To learn more about what an introduction should include and what to include in a conclusion, please see the following resource: Introductions & Conclusions. You can use this template to help you format your paper. For longer papers, include level headings. The Writing Process Spend time planning your paper. A good practice is to brainstorm ideas and decide how to express the main idea or thesis, this is part of entering the scholarly conversation. Once you have a rough idea of what you want to discuss or argue, create an outline or list to help you organize the evidence you plan to present. Writing the Body Paragraphs Each paragraph of your assignment should be clear and easy to follow. We have several good resources to help you write a strong paragraph, such as How to Write a Good Paragraph page and the Integrating Research page. Level 2 Heading (Bold, Flush Left, Title Case) Level headings can be placed anywhere in your paper as a way to classify or organize your paper into sections. There are five levels; the first three levels are more commonly used in graduate-level assignments, whereas levels four and five may be used in longer papers (e.g., dissertation). Use level 2 headings to break level 1 into categories, level 3 to break up level 2, and so on. Do not move to a lower level of heading if there is only one section. As a general rule, check with your instructor about formatting expectations. Level 3 Heading (Bold, Flush Left, Italic, Title Case) Likewise, to show your readers where the paragraph begins when using a level 3 heading would be a great idea. Level 4 Heading (Bold, Indented, Title Case). In longer papers, you may use a level 4 heading to create even further subsections. In this case, note that the paragraph begins directly after a period on the same line as the level 4 heading. The level 5 headings follow the exact same conventions, only they would also be italicized. Using Citations Correctly In addition to being well-written, each paragraph should include an in-text citation to all information summarized, paraphrased, or quoted from outside sources. The Writing Center provides many resources to help you follow correct citation style and gives lessons and examples of how to paraphrase and cite sources. The Introduction to APA 7th Edition page is a good place to start. Using Tables, Graphs, Images, and Appendices For some papers and reports, you may choose to add a table, graph, or image within the body of the draft. Or you may choose to inc ...

1. 1
2
Title of Your Essay
Your First and Last Name
University of Arizona Global Campus
Course Code: Name of Course (e.g. ENG 122: English
Composition II)
Instructor Name
Due Date
Title of Your Essay
Start the first paragraph here, which should introduce your
reader to the subject you are writing about, as well as your
particular position or claim. Do not label it “Introduction.”
Instead, simply write your paper’s title as a level 1 heading:
bold, centered, with title case. To learn more about what an
introduction should include and what to include in a conclusion,
please see the following resource: Introductions & Conclusions.
You can use this template to help you format your paper. For
longer papers, include level headings.
The Writing Process
Spend time planning your paper. A good practice is to
brainstorm ideas and decide how to express the main idea or
thesis, this is part of entering the scholarly conversation. Once
you have a rough idea of what you want to discuss or argue,
create an outline or list to help you organize the evidence you
plan to present.
Writing the Body Paragraphs
Each paragraph of your assignment should be clear and

2. easy to follow. We have several good resources to help you
write a strong paragraph, such as How to Write a Good
Paragraph page and the Integrating Research page.
Level 2 Heading (Bold, Flush Left, Title Case)
Level headings can be placed anywhere in your paper as a way
to classify or organize your paper into sections. There are five
levels; the first three levels are more commonly used in
graduate-level assignments, whereas levels four and five may be
used in longer papers (e.g., dissertation). Use level 2 headings
to break level 1 into categories, level 3 to break up level 2, and
so on. Do not move to a lower level of heading if there is only
one section. As a general rule, check with your instructor about
formatting expectations.
Level 3 Heading (Bold, Flush Left, Italic, Title Case)
Likewise, to show your readers where the paragraph begins
when using a level 3 heading would be a great idea.
Level 4 Heading (Bold, Indented, Title Case). In longer papers,
you may use a level 4 heading to create even further
subsections. In this case, note that the paragraph begins directly
after a period on the same line as the level 4 heading. The level
5 headings follow the exact same conventions, only they would
also be italicized.
Using Citations Correctly
In addition to being well-written, each paragraph should include
an in-text citation to all information summarized, paraphrased,
or quoted from outside sources. The Writing Center provides
many resources to help you follow correct citation style and
gives lessons and examples of how to paraphrase and cite
sources. The Introduction to APA 7th Edition page is a good
place to start.
Using Tables, Graphs, Images, and Appendices
For some papers and reports, you may choose to add a table,
graph, or image
within the body of the draft. Or you may choose to include an
appendix at the end of your paper. These can help to provide a
visual representation of data or other information that you wish

3. to relay to your reader. Follow this guidance to understand
when and how to use these features.
References
Author's Last Name, Initials. (Publication Year). Title of
article. Title of Periodical, volume #(issue #), pp–pp.
http://doi:xx.xxxxxxxxxx
Author's Last Name, Initials. (Publication Year). Title of book.
Location: Publisher.
Author's Last Name, Initials. (Publication Year). Title of digital
book. http://www.xxxxxxx.xxxxxxxx
Author's Last Name, Initials. (Publication Year). Title of book
with DOI. https://doi:xxxxxxx
Editor's Last Name, Initials. (Ed.). (Publication Year). Title of
anthology. Location: Publisher.
Producer’s Last Name, Initials (Producer), & Director’s Last
Name, Initials (Director). (Year). Title of motion picture
[Motion picture]. Country of Origin: Studio.
**For help formatting your reference page, please see our
Formatting Your References List page.
QUALITY IMPROVEMENT STUDENT PROJECT PROPOSAL:
Bon Secours Virginia Medical Group:
Aubhrey Davis
Introduction:
Bon Secours, a pioneer in implementing medical home and
accountable care initiatives, has committed to implementing a
sustainable care delivery model that is aligned with health care
reform across all of its providers and locations (Bon Secours
Virginia Medical Group, 2019).
BACKGROUND

4. Setting:
Executing a sustainable care delivery model that is in harmony
with health care reform throughout its providers and locations
by implementing medical home and accountable care programs
is a critical issue in Virginia in the United States.
Health Care Service:
The case study focuses on accepting PHM as the result of a
methodical approach to reengineering primary care practices,
integrating new technologies into care team workflows, and
including patients in their care. This case study delves further
into Bon Secours' strategy for achieving quality outcomes and
financial success in the shifting healthcare landscape. The
initiative began five years ago as a pilot. Since then, NCQA has
designated eleven practices as patient-centered medical homes.
Improved capacity is one of the most important goals of the
Advanced Medical Home Project.
Problem:
One of the main problems in the case is the overburdening of
the healthcare providers and constraints in delivering quality
care to the patient. Due to a smaller number of care providers or
physicians, delays are witnessed due to the lack of enough
healthcare providers to meet the needs of patients hence they
end up sacrificing quality care since they overburden
themselves. They also have challenges of reengineering
practices in the medical institution as it requires Creating high-
performing physician-led care teams necessitate workflow
modifications, new care coordination activities, and carefully
delegated clinical tasks across the care team.
Barriers to Quality:
The physical aspect is a barrier since the location might be
almost always in a hallway, near to a whiteboard, and never in a
private room, and presentations are regularly interrupted, and
the turmoil of an overloaded emergency room creates a lot of
background noise and also attendants routinely converse with
one another and think that the resident can hear what they are

5. saying. Additionally, if the information is coming from an
Attending physician, residents are unlikely to ask questions
during the handoff. Since sign-out involves all working
physicians in the ED at the same time, all transfers are verbal,
none are standardized, and time demands are well recognized.
Therefore, the above actions present a huge barrier to the
quality delivery of patient care.
THE INTERVENTION
First, an organization must explicitly state what it is attempting
to accomplish by establishing "time-specific and measurable
goals." Following that, an organization must devise metrics to
determine whether the improvement is effective. Changes that
lead to an improvement must be identified and tested in a Plan-
Do-Study-Act cycle. Change must be planned, tried, and
studied, and then members must act on what they have learned
in the third stage. However, before attempting PDSA cycles in a
large institutional setting, they should be tested in a small group
and finally, the changes should be implemented throughout the
organization.
The process entails allowing care teams to double the size of
their patient panel without becoming overburdened or
sacrificing the quality of care. This project will attempt to
address the issue of non-uniform patient handoffs which will be
a challenge for the process. Thus, there will be a significant
lack of access to high-performance physician-led care teams and
also nurse navigators in all the 140 locations in Virginia.
Aim (Objective):
The project objective is to redesign primary care practices,
incorporate new technologies into care team workflows, and
involve patients in their care, and to improve capacity
1. STRATEGY FOR IMPLEMENTATION
The first step in this strategy's implementation will be to
identify early adopters and process owners from the organ, the

6. implementation team will then work on the process to ensure
successful project implementation.
2. Measures:
Bon Secours has made significant investments in integrating
care managers into the primary care team to facilitate this
process. Compliance with the SBAR format will be measured
using an "all or nothing" metric, and provider satisfaction will
be measured using a survey that will include questions about
perceived time savings.
Barriers to Change:
The case identifies potential barriers including concerns on
technology reliability and it's also difficult for patients to be
engaged in their care, and lastly, financial constraints are a
huge barrier to the implementation of this change.
Simple Rules:
Bon Secours' strategy will be effective for achieving quality
outcomes and financial success in a changing healthcare
environment.
Cost Implications:
There are no additional costs associated with this process
change.
Conclusion
To sum, the future mantra of Bon Secours is "healthcare without
walls." The organization is pursuing remote, noninvasive
monitoring for highly acute case management aggressively.
Their vision is to use technology to bring care outside the four
walls of the hospital and into the patient's home. They are
putting in place a geriatric medical home, which will allow
patients to age in place while receiving preventive and acute
care at home. This model will transform the healthcare
organizations (Bon Secours Richmond Health System
Announces New Partnership With Wound Care Advantage
(WCA), 2019).
References

7. Bon Secours Richmond Health System Announces New
Partnership With Wound Care Advantage (WCA). (2019).
Www.healthitoutcomes.com.
https://www.healthitoutcomes.com/doc/bon-secours-richmond-
health-system-new-partnership-wound-care-advantage-wca-0001
Bon Secours Virginia Medical Group. (2019). Primary Care
Collaborative. https://www.pcpcc.org/case-studies/bon-secours
Making physicians pay off. (2018, February 22). Modern
Healthcare.
https://www.modernhealthcare.com/article/20140222/MAGAZI
NE/302229986/making-physicians-pay-off
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